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Home My WebLink AboutBLD2010-00153 IRJILDING PERMIT APPLICAN MLA10-00181Review Type: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD10-00153 Received Date: 5/12/2010 SITE ADDRESS: 998 FOUR CORNERS RD PORT TOWNSEND, 98368 OWNER: JEFFERY S MICHELSON PHONE: 360-901-6576 MARY A MICHELSON 11504 NE 92ND ST VANCOUVER WA 986622302 MICRAELUND SHORT PLAT SUBDIVISION: Block: Lot: 3 PARCEL NUMBER: 001334039 Section: 33 Township: 30 N Range: 01 W CONTRACTOR: BERKSETH ENTERPRISES PHONE: 360-452-8355 21 LADYBUG LN PORT ANGELES WA 98362 Contractor's License BERKSE*224BJ Expires 1/14/2012 REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOI' NEW DETACHED POLE BLD GARAGE/SHOP - UNHTD, NO PLMB TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: VALUATION 35,000.00 ADD'L: HEAT TYPE: UH CODE EDITION: 2006 HEAT BASE: HEAT TYPE: OCCUPANCY: OCCUPANCY: UNHEATED: #OF STORIES: OTHER: CONST TYPE: GARAGE: 1,440 SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 0 Prop: .._.0 . • Total: 0 Total 0 _-> Routing Date: --. Type Amount Paid By: Date: Receipt: APPROVED Permit $492.25 LYK 05/12/10 117674 Plan Check $319.96 LYK 05/12/10 117674 JUL 12-2OiU State Building Code $4.50 LYK 05/12/10 117674 Total: $816.71 Jefferson County Planning &Building Department • CONDITIONS for Building Permit# :BLD10-00153 1.) A vegetative buffer of 30-feet shall be permanently maintained from the top or edge of the Landslide Hazard Area (top of steep slope SW portion of property). All buffers shall be measured perpendicularly from the top of the Landslide Hazard Area. 2.) Landslide Hazard Areas and their associated buffers shall remain naturally vegetated. Should buffer disturbance occur during construction, the Unified Development Code (UDC) Administrator shall require replanting with native vegetation. No alterations shall be made to the Landslide Hazard Area or its associated buffer without prior authorization by the UDC Administrator. 3.) All construction activities shall not encroach upon the Landslide Hazard buffer. This includes the storage or preparation of materials. 4.) The applicant shall permanently separate the boundary of the Landslide Hazard Area Buffer from the remainder of the subject property through installing logs, trees, a hedge row, or any other prominent physical marking approved by the UDC Administrator. 5.) The project shall adhere to the Best Management Practices (BMPs) to control stormwater, erosion and sediment during construction. BMPs shall address permanent measures to stabilize soil exposed during construction, and in the design and operation of stormwater and drainage control systems. 6.) The project shall comply with Construction Stormwater Pollution Prevention (SWPP) Elements#1 through #12 of the Department of Ecology's Stormwater Management Manual for Western Washington to control stormwater, erosion and sediment during construction. BMPs shall address permanent measures to stabilize soil exposed during construction, and in the design and operation of stormwater and drainage control systems. 7.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 8.) Not more than 2 unlicensed vehicles shall be stored on any lot unless totally screened from view of neighboring dwellings and rights-of-way. Such screening shall meet all applicable performance and development standards specific to the district in which the storage is kept, and shall be in keeping with the character of the area. Screening shall meet the requirements of Chapter 18.30 JCC. Outdoor storage of 3 or more junk motor vehicles is prohibited except in those districts where specified as an automobile wrecking yard or junk (or salvage) yard and allowed as a permitted use in Table 3-1 or Chapter 18.18 JCC, and such storage shall meet the requirements of JCC 18.20.100, Automobile wrecking yards and junk (or salvage) yards. In no case, shall any such junk motor vehicles be stored in a critical area. 9.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 10.) The building height is not to exceed 35 feet. 11.) Building Setback from Four Corners Rd right-of-way is no less than 20 feet. Side setbacks are no less than 5 feet. Rear setback to adjacent forest land is 250 feet. Jefferson County Building •ision Permit Wilier: BLD10-00153 Applicant: MICHELSON BUILDING PERMIT INSPECTION APPROVALS applicable Code: 2006 International Building Codes To schedule inspections, call (360)379-4455 no later than 7:00 AM the day of the inspection. Requests received after 7:00 AM will not be scheduled for that day's inspections. ELECTRICAL PERMITS are issued by the Washington State Department of Labor& Industries. The electrical permit must be signed off by the State Inspector prior to the County's Framing Inspection Inspection Item Date Approval Signature Notes Setbacks "7 I Erosion Control Post Holes -1 1 +ei i� �: y � v-�N T 3 h�, �n Straps(hold downs) Ext. Shear Wall Nailing Framing Drywell/Alt Drainage Address Posted FINAL INSPECTION � � �Q(D met,„ FINAL INSPECTION MUST APPROVED PRIOR TO BUILDING BEING OCCUPIED T PERMIT IS VALID FOR ONE YEAR • • ioff co,.. JEFFERSON COUNTY W \., a DEPARTMENT OF COMMUNITY DEVELOPMENT '' •N , i< 621 Sheridan Street• Port Townsend •Washington 98368 �) 360/379-4450 • 360/379-4451 Fax www.co.jefferson.wa.us/commdevelopment BINS Master Permit Application MLA: I II b IS ject 9e cription(include separate sheets as necessary): o f' - 1 hi - 0i> Oi)1P) • Tax Parcel Number: 0 G G2,� Property Size: C. <8 c.�S� (acres/square feet) Site Address and/or Directions to Property: �/� `�ctS FU V CUrV\ �S go , Pox- 'v _Se vi c /f • Property Owner(s)of Record: 5L V'r e r( . 'P ��S(L3 A. rn — e‘S C rJ Telephone: R 6 Q - 90)- 6S7 4 ax: email: Mailing Address: 1 '2 Four Co rv\,rs Roc-tt0) `Pu r t 1 CA,/tASe'Id/ cL/4 . 98 s"G 8' Applicant/Agent(if different from owner): Telephone: Fax: email: Mailing Address: What kind of Permit?(Check each box that applies ❑Lot or Road Segregation ❑Building 0 Critical Areas Stewardship Plan ❑ Demolition Permit 0 Variance(Minor, Major or Reasonable Economic Use) ❑Single Family I'Garage Attached/Detached ❑Conditional Use[C(a), C(d),or C]** ❑ Manufactured Home • .0 Modular - 0 Discretionary"D"or Unnamed Use Classification ❑ Commercial* 0 Special Use(Essential Public Facilities)** ❑ Change of Use 0 Boundary Line Adjustment ❑ Address 0 Road Approach 0 Short Plat** ❑ Home Business 0 Cottage Industry 0 Binding Site Plan'" "` ' l �`"' ❑ Propane 0 Long Plat** ❑Sign - - 0 Planned Rural Residential Development(PRRD)/Amendments** ' ❑Allowed"Yes"Use Consistency Analysis 0 Plat Vacation/Alteration** ❑Stormwater Management 0 Shoreline Master Program Exemption/Permit Revisions** ❑ Site Plan Approval Advance Determination(SPAAD)* 0 Shoreline Management Substantial Development** ❑Temporary Use ❑Shoreline Management Variance ❑Wireless Telecommunication* 0 Comprehensive Plan/UDC/Land Use District Map Amendment ❑ Forest Practices Act/Release of Six-Year Moratorium ❑Jefferson County Shoreline Master Program Amendment *May require a Pre-Application Conference 0 Tree Vegetation Request **Requires a Pre-Application Conference _ Please identify any other local,state or federal permits required for this proposal, if known: DESIGNATION OF AGENT I hereby designate to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE Date: By signing this application form,the owner/agent attests that the information provided herein,and in any attachments,is true and correct to the best of his,her or its knowledge. Any material falsehood or any omission of a material fact made by the owner/agent with respect to this application packet may result in this permit being null and void. I further agree to save,indemnify and hold harmless Jefferson County against all liabilities,judgments,court costs,reasonable attorney's fees and expenses which may in any way accrue against Jefferson County as a result of or in consequence of the granting of this permit. I further agree to provide access and right of entry to Jefferson County and its employees,representatives or agents for the sole purpose of application review and any required later inspections. Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the time of thefti that he r shel/wants r F9tice. Signature: `/ �. I V - Vi••,.,�.-_ Date: `- 10 2 C'.)r 6 The action a A licant will undertake as a result of the issuance of thi s s permit may negatively impact upon one or more threatened or endangered species and could lead to a potential"take"of an endangered species as those terms are defined in the federal law known as the "Endangered Species Act"or"ESA."Jefferson County makes no assurances to the applicant that the actions that will be undertaken because this permit has been issued will not violate the ESA. Any individual,group or agency can file a lawsuit on behalf of an endangered species regarding your action(s)evgc if you are in compliance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-tr sf are respon bilitygr�adh�rftlg and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature: /�-- / Date: ,c /C.) 20/(-) r•\n____..., \a144J1IIrID 11 IQIHii{\TNT,T Cr1T1 SC\r`_____....TNT Ts T. S•• n • . ,• • - ......- . I • BUILDER STATEMENT The signer of this statement does hereby certify that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that they will be ss i g the responsibility of the General Contractor for the proposed project. Signature: Date: .0 ) GENERAL ONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: e-V--tC S-CA-- &--11 4e r- p I S e-S (Ad 4/S.2-E'3� - ( ) MAILING ADDRESS: ' (, Lie) "g kb �� EMAIL: CONTRACTOR'S LICENSE elOd} A n ke-3 i f* -9836Z WAINS NUMBER: 13e_i-kSe.- ' 2--ack ni NUMBER ARCHITECT/ENGINEER: G e_,n U n V,_ E J i�,�.r`n � a PHONE Q)5/5. _ 20 g FAX:( ) MAILING ADDRESS: ) 4101 (AI 7 rin gG.a-; e� -S (,,,A EMAIL 36'3 Project Type: Frame Type; + Bathrdoms: Shoreline: Type of Sewage Disposal: A New lc3:Wood Existing: ❑ Sewer ❑ Addition ❑ Steel Proposed: Bank 0 Community System O Alteration/Remodel 0 Concrete Total: 0 Height: 0 Individual System �. ❑ Repair 0 Masonry SEP Permit# (,t i) ) O Demolition 0 Other: Bedrooms: Water Supply: Existing: Setback: 0 Private well 0 Two Party Type L„ _4, Proposed: ❑ Public 1 b gri6 n Yf Itri. Total: C Name of System: ►mot/ If this is a Commercial Project you must answer the following: Number of Parking Spaces: Current: Proposed: Number of ADA Parking Spaces: Number of occupants(includes owners,tenants,employees,etc) Current Proposed IBC Occupancy: IBC Type of construction: Will you have Food'Sen ice? Yes / No ' If this is a Propane Tank and/or Appliance Installation permit,mark all items below that apply: i Underground Tank i Above ground Tank Size of Propane Tank: i Heat Stove i Cook Stove caWoodstov> I Fireplace Insert i Hot Water Tank i Pellet Stove i Other Is this appliance being installed in a Manufactured I Mobile Home? Yes / No _ When applying for a permit to install a propane tank you must also submit a site plan showing all of the buildings,all property lines, tank location and size,distances from the propane tank to all property lines,buildings and septic system components, , including the reserve area. Square Footage Current Proposed Office Us a .h,3.. .14,. .. » .\f� t r . ,4 "it 4 Main Floor Heated '�a EH Bld App Review: �� « Consistency Review: 2"0 Floor Heated ��° `.q 15 Other Heated Base fee: 1)3 Mezzanine - Additional Section: -- Heated Basement r,` Plan Check fee: _ 3 1C1 ci(a Unheated Basement State Surcharge fee: Other Unheated ,--.• ,,-Pot Water Review fee: 1 Ilir ID Garage/Carport t O ;. SUBTOTAL \r.2 1 Decks t 911/Rd Approach fee: t'X 1.` n Other TOTAL: $' i 02 9 ,, Receipt Number: 77 — Cash/Check Number: : fi3S . ESTIMATED COST(REQUIRED) Date: c— •Fair market value of all labor and materials foundation to finish �� S. SOOG'°0 Initials: <__. ... .. � r-.\no....:44---,n.\ffitif FOR MC###\l7Rf FOR MS\C,,rrrnt DRD Fnrmc\Master Permit Annli Linn 5-29-OR.doc (' • • 1\ • (, %, '‘'),,z -- . .__.._..____t,- ,.�`) --_-_---_ --_.t s\ \ - .. 4.?.cam. , Vxn, ettaL+s I T I - - , d I Q Z)(ZL I . O Z,)( ;at ti ,. 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